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00 / 09 · The journey
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StrategyVectors

Patient journey databases for pharma

Know the journey.
Change the outcome.

Decision-grade patient journey databases. Every claim, every source, every piece of evidence traced and referenced.

The 12-step patient journey · scroll to follow the line

01 · The foundation

One therapeutic area. One country. Every number traced.

A Patient Journey Database maps the 12 steps patients take using 10 intelligence domains. Every data point carries a source, an evidence level, a date and its caveats.

500+ A4 pages

One therapeutic area, one country, in depth.

IgA nephropathy in Sweden: 766 data points from 381 sources.

12 steps × 10 domains

Every step of the journey, every angle of evidence.

From symptom onset to long-term outcomes; from epidemiology and pathways to market access and real-world outcomes. Six evidence levels, from L1 primary research to L6 expert estimate with reasoning and range shown.

Traced to the source

Open any claim and see where the number comes from.

Source, date, cross-check, confidence and caveat on every data point. Where there is no evidence, the database says so.

“Where there is no evidence, the database says no evidence. It never fills the gap with a guess.”
How every Strategy Vectors database is built

02 · Strategy Vectors

Find the barriers that prevent patient access to treatment.

A proprietary model identifies Strategy Vectors: barriers which, if removed or reduced, may unlock patient access.

Step 3 · Specialist Referral

Delayed GP-to-nephrology referral.

Patients who should reach a specialist stay in primary care. The flow narrows before diagnosis is even possible.

Step 4 · Accurate Diagnosis

Low biopsy rate in at-risk patients.

Without a biopsy there is no confirmed diagnosis, and no treatment decision.

Step 6 · Initial Treatment Intervention

Restrictive reimbursement criteria.

Eligible patients are held back at the point of treatment. In IgAN Sweden, the model found 42 vectors like these.

03 · Vector simulation

See the future before you commit.

A causal Bayesian network runs 10 000 simulations for each Strategy Vector you choose, and shows the predicted outcome — for example, how many more patients reach treatment if the vector is removed or reduced.

Start from today

A baseline, not a guess.

10 000 runs of the current journey give a distribution of outcomes, not a single number.

Reduce the vector

Include the chance that it fails.

The unconditional result allows for the removal not working, and shows how often that happens.

Read the difference

Unconditional and given success, side by side.

You see both, with every assumption named, before a budget is committed.

10 000 simulations per vector. Distributions, not point estimates.
Causal Bayesian network · every assumption named

04 · Feasibility test

How likely is it to work, and what would it take?

For any vector: the likelihood of successful removal under different investment scenarios, plus an implementation plan built on historical precedent.

  • Three investment scenariosLow, medium and high, each with a probability range rather than a single score.
  • Built on precedentWhat has worked before in this healthcare system, and how long it took.
  • Assumptions in the openEvery driver of the estimate is named, so your team can challenge it.

05 · Ready-to-go account plans

From a database to an account plan in days, not months.

The database maps key institutions, patient flows and stakeholders for each therapeutic area and region. Combine selected vectors with a likelihood scenario, and your KAMs have a plan that actually will make a difference.

Institutions and flows

See where patients enter, get stuck and drop out.

Named institution types, the patient flows between them, and where the flow is thin.

Stakeholders

The people who decide, by role.

Stakeholders per institution, with the vectors that matter to each of them.

One page

An account plan your KAMs can use tomorrow.

Selected vectors, the likelihood scenario, stakeholders and next steps for one account.

During database assembly every data point is checked as it is written. Nothing is saved without a source, an evidence level and a date.

06 · Knowledge-gap research

Every knowledge gap represents a challenge for pharma and for the healthcare system.

Every knowledge gap in the database gets singled out. Using a proprietary agentic model, we run online research studies to close those gaps, to the benefit of patients.

The gap is visible

No evidence means there’s none to find.

The gap is recorded.

Every knowledge gap is named

74 named gaps in chronic hand eczema, Germany.

From a database of 2 039 data points and 566 sources.

A study bridges it

Our research protocol closes the gap.

Studies produce the missing evidence to the benefit of patients, pharma and the healthcare system.

07 · Training programmes

Train on the real world, not a textbook.

Programmes for pharma teams and for healthcare professionals, built on real-world data from the database.

For pharma teams

KAMs, MSLs, market access

  • Practise on the actual journey in your market, step by step.
  • Case work built on real Strategy Vectors and real stakeholders.
  • Every claim you make can be traced to its source.

For healthcare professionals

Clinicians and care teams

  • See where patients are lost in your own pathway.
  • Local data, set against the national picture.

Example database · IgA nephropathy · Sweden · June 2026

766data points
381sources
10domains
42Strategy Vectors

08 · Connected databases

One market teaches another.

Connect databases across countries or regions to see what differs, what converges and what one market can learn from another. Built for global brand teams and clinical development.

Same method, same grid

Five countries, one comparable structure.

Each database uses the same 12 steps and 10 domains, so a comparison is fair. For example: DE, FR, UK, IT and ES in IgA nephropathy.

What differs

Referral routes and time to treatment.

Where the strands pull apart, one market has found something another has not.

What converges

Shared barriers point to global programmes.

Where the strands meet, the barrier is common. Local differences point to local plans.

09 · External data integration

Add your own data. Open new dimensions.

Plug in external sources — for example your market research studies — to add new dimensions to the journey and sharpen decisions.

Your studies, our grid

Market research and CRM map onto the same 12 steps.

Your data joins the journey where it belongs, not in a separate deck.

Provenance stays intact

Claims data and your own studies, labelled as yours.

External sources keep their origin, so every number can still be traced.

New dimensions

Segment, territory, time.

A thicker line: more ways to cut the journey, and sharper decisions.

Next step

Where would you like to start?

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